Drug & supplement interaction

Avens + Trilaciclib Dihydrochloride

Trilaciclib Dihydrochloride brand name: Cosela.

No Known Interaction
The bottom line No known interaction

We found no known interaction between Avens and Trilaciclib Dihydrochloride in our sources. Absence of a documented interaction is not the same as proven safety, and does not guarantee one does not exist. Do not start, stop, or change a medication or supplement based on this page; confirm with your pharmacist or doctor first.

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Interaction report

Avens and Trilaciclib Dihydrochloride

We checked these two against our interaction database. Here is what we found.

No Known Interaction Found

We did not find a documented interaction between Trilaciclib Dihydrochloride and Avens in our sources. This does not guarantee that the combination is completely free of risk — there is often limited research on supplements and herbal products, especially around drug interactions.

Worth understanding: our licensed dataset holds no drug-interaction record for Avens at all — not against Trilaciclib Dihydrochloride, and not against any other medication we track. This verdict therefore rests on the absence of any recorded data, not on research that looked at this combination and found nothing. We cannot rule an interaction out.

If you decide to take both, the practical routine is simple: add one new thing at a time and note the date you started it. If the combination is going to disagree with you, it usually shows in the first days to a couple of weeks — and a start date turns “I’ve been feeling off” into something a pharmacist can actually work with. Do not stop a prescribed medicine on your own.

Always talk with your pharmacist or doctor before making changes to your medications or supplements, particularly if you take several medications or have an ongoing health condition.

Avens safety at a glance

Avens overall Use caution Generally used in food-like amounts, but human safety data are very limited.
Pregnancy Possibly Unsafe When used orally because avens seems to have an effect on the menstrual cycle; avoid using. Read the full pregnancy detail
Breastfeeding Avoid No reliable safety data while breastfeeding, so avoid it.

Pregnancy & breastfeeding ratings are from Natural Medicines (Therapeutic Research Center) — the full detail is in the Special populations card below. Safety guidance is general; always confirm with your pharmacist or doctor for your situation.

Still wondering about combining Trilaciclib Dihydrochloride and Avens? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
What to actually watch for

What Trilaciclib Dihydrochloride’s Own FDA Label Lists

This is not an interaction — none of it involves Avens. These are the most notable effects listed in the ADVERSE REACTIONS section of Trilaciclib Dihydrochloride’s own FDA label, for the medication by itself. Knowing the drug’s own list makes it easier to work out the likely cause if something new turns up while you take both. 8 of them are worth acting on rather than waiting out — marked below.

  • A stroke or mini-stroke Worth acting on
  • Low potassium Worth acting on
  • Blood clots Worth acting on
  • A low platelet count Worth acting on
  • Liver problems Worth acting on
  • Bleeding or bruising Worth acting on
  • A higher chance of infection Worth acting on
  • An allergic reaction Worth acting on
  • Tiredness
  • Headache

From the ADVERSE REACTIONS section of the FDA label for Trilaciclib Dihydrochloride. Read the label on DailyMed › Avens’s licensed record lists no adverse effects our clinical vocabulary could match, so there is no Avens side to compare — that is a limit of the record, not a statement that Avens has no side effects.

Special populations

Avens in Pregnancy & Breastfeeding

Pregnancy Possibly Unsafe

When used orally because avens seems to have an effect on the menstrual cycle; avoid using.

DISCLAIMER: This tool is intended for informational purposes only, and should not be interpreted as specific medical advice. Patients should consult with a qualified healthcare provider before making decisions about therapies and/or health conditions.© 2026 Therapeutic Research Center

Everything else you take

See Every Supplement That Interacts With Trilaciclib Dihydrochloride

This page covers Avens only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Trilaciclib Dihydrochloride page lists 13 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: American Hellebore (major), Arsenic (major), Cesium (major), Ephedra (major) and Grapefruit (major).

By severity: 6 major · 7 moderate.

From our pharmacist’s overview on the Trilaciclib Dihydrochloride page

“Trilaciclib (Cosela) is an infusion given before chemotherapy to shield bone marrow in people with small cell lung cancer, and its supplement list deserves genuine attention because all 13 flagged ingredients press on the same weak point, the heart's electrical rhythm. Each can lengthen the QT interval, the pause between beats on an EC…”

Reviewed by 2 · Jul 18, 2026

Open the Trilaciclib Dihydrochloride interaction page

One more smart check

Taking Avens as Part of a Dietary Supplement Product? Check It for Interactions

We hold 8 real supplement products containing Avens, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Avens. Even though Avens itself has no known interaction with Trilaciclib Dihydrochloride, another ingredient on your label might. Find your product and we’ll check every ingredient on its label:

How much people look this up

Where Avens and Trilaciclib Dihydrochloride Sit Against Everything Else

Out of every supplement and medication people look up on HelloPharmacist, here is where these two land this week — and which way each has been moving.

Supplement Avens
Steady interest

#1,014 of 1,452 supplements looked up here in the last 7 days

29 days ago today
Medication Trilaciclib Dihydrochloride
Steady interest

#2,156 of 2,830 medications looked up here in the last 7 days

29 days ago today

Position among everything looked up on this site, not a measure of how commonly either one is used or how important it is. A supplement can climb this list because of a news story. It counts every request to the page, automated ones included, and nothing here identifies anyone.

Where does our data come from?
  • Source: the Natural Medicines (TRC Healthcare) clinical database — the evidence-graded professional reference for herb & supplement interactions.
  • Citation library: 103,510 references behind our interaction content, 65,311 of them resolved to verified PubMed/DOI sources. See every Avens reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 27, 2026. The Avens and Trilaciclib Dihydrochloride records this page draws on were last updated July 11, 2026.
  • What “no known interaction” means: no documented interaction in the sources above — not a guarantee of safety. Supplements are studied far less than prescription drugs, so we say exactly what the evidence supports, and nothing more.
Data structure & sourcing designed and verified by .
Supplement

About Avens

What is Avens?

Avens
  • Diarrhea
  • Indigestion and dyspepsia
  • Gas (flatulence)
  • Sore throat and mouth rinses
  • Mild inflammation

Avens is a traditional European herb whose root and leaves are rich in tannins and have long been used as a tea for diarrhea and digestive upset. Solid human research is lacking, so its benefits are unproven. If you choose to try it, use it short-term, follow the product label, and check first with your pharmacist or doctor.

Geum urbanum · Rosaceae · Dried aerial (flowering) parts and roots · Tea (infusion), decoction, dried herb, root powder, tincture

An interaction check asks whether these two react with each other — it does not ask whether Avens is a good idea for someone in your situation. Here is what our Avens record says about it on its own.

Avens: dosing

There is no officially established or standardized dose for Avens. Traditional sources describe steeping a small amount of dried herb in hot water as a tea, or briefly boiling the dried root to make a decoction.Because product strengths vary widely, the safest approach is to follow the directions on the product label and not exceed them.

From our Avens monograph — the full record covers uses, side effects and every documented interaction.

Read the full Avens monograph & all interactions
Medication

About Trilaciclib Injection

What Is Trilaciclib Injection Used For?

Brand name: Cosela

Trilaciclib Injection (brand name Cosela) is used in adults with extensive-stage small cell lung cancer. It helps decrease the incidence of chemotherapy-induced myelosuppression. That means it lowers the chance that chemotherapy will suppress the bone marrow's production of blood cells.

It is given before certain chemotherapy regimens: a platinum/etoposide-containing regimen or a topotecan-containing regimen.

See full Trilaciclib Injection drug information
Keep checking

Other Drugs & Avens

Browse every other medication we’ve checked against Avens — both the ones with a known interaction and the ones without. Select any drug for the full detail.

0Major
0Moderate
0Minor
2,829No known interaction
No interaction 2,829 drugs checked — show the list
Evidence & sources

Avens References

The 1 references that drive our Avens monograph and interaction data, from the evidence-graded Natural Medicines (TRC Healthcare) database. Citations with a link open the study on PubMed or the publisher’s site.

  1. Newall CA, Anderson LA, Philpson JD. Herbal Medicine: A Guide for Healthcare Professionals. London, UK: The Pharmaceutical Press, 1996.

Medication overviews come from MedlinePlus (NIH); supplement label data from the NIH Dietary Supplement Label Database. Content is written and reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.

Pharmacist Counseling Corner

Taking Avens and Trilaciclib Dihydrochloride Together: Common Questions

Is it safe to take Avens with Trilaciclib Dihydrochloride?
We do not list a known interaction between Avens and Trilaciclib Dihydrochloride. That does not guarantee the combination is risk-free, so confirm with your pharmacist or doctor — especially if you take other medications or have a health condition.
Does Trilaciclib Dihydrochloride interact with any supplements?
Yes. Trilaciclib Dihydrochloride has documented interactions with 13 supplements in our database — Avens is not one of them. The Trilaciclib Dihydrochloride interaction page linked on this page lists every one, ranked by severity.

Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy

Still Have a Question About Trilaciclib Dihydrochloride and Avens?

Our pharmacists answer your medication & supplement questions — free.

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This information is for education only and is not a substitute for professional medical advice. Always check with your pharmacist or doctor before starting, stopping, or combining supplements and medications.